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DIFFUSE CHOROIDAL HEMANGIOMA MASQUERADING AS CENTRAL SEROUS CHORIORETINOPATHY TREATED WITH ORAL PROPRANOLOL

Dave, Tarjani MD*; Dave, Vivek Pravin MD, DNB, FRCS; Shah, Gaurav MD; Pappuru, Rajeev R. MD

Retinal Cases & Brief Reports: January 2016 - Volume 10 - Issue 1 - p 11–14
doi: 10.1097/ICB.0000000000000165
Case Report
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Purpose: To describe a case of diffuse choroidal hemangioma with exudative retinal detachment treated successfully with oral propranolol.

Methods: Single interventional case report of a 14-year-old boy, known case of Sturge–Weber syndrome, presented with decreased vision in the right eye since 2 months. Presenting vision was finger-counting at 3 m. Examination revealed a neurosensory detachment at the macula clinically appearing like central serous chorioretinopathy. Fundus fluorescein angiogram, B-scan ultrasound, and optical coherence tomography were consistent with an underlying diffuse choroidal hemangioma with secondary exudative macular detachment. The patient could not afford radiotherapy and thus was treated with oral propranolol.

Results: Serial clinical examinations and optical coherence tomographies showed gradual resolution of the subretinal fluid. Vision at the last visit 4 months after treatment was 6/9 best corrected.

Conclusion: Choroidal hemangioma can be mistaken clinically to be central serous chorioretinopathy. Oral propranolol is an effective and economical treatment option in patients not affording other standard modalities of treatment.

This report describes a case of diffuse choroidal hemangioma in Sturge–Weber syndrome, which had a good clinical outcome after therapy with oral propranolol. Diagnosis was confounded by a clinical presentation similar to central serous chorioretinopathy.

*Ophthalmic Plastic Surgery Services, LV Prasad Eye Institute, Hyderabad, India;

Smt. Kanuri Santhamma Center for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, India; and

Department of Vitreo-Retina, Netra Mandir Hi-Tech Eye Institute, Mumbai, India.

Reprint requests: Vivek Pravin Dave, MD, DNB, FRCS, 606A, 6th Floor, LV Prasad Eye Institute, Road No 2, Banjara Hills, Hyderabad 500034, Telangana, India; e-mail: vivekoperates@yahoo.co.in

None of the authors have any financial/conflicting interests to disclose.

© 2016 by Ophthalmic Communications Society, Inc.